UKetorolac

Umxholo

• Ngaphambi kokuba uthathe i-ketorolac,
• I-Ketorolac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza. Musa ukuthatha enye i-ketorolac de uthethe nogqirha wakho.
• Iimpawu libanda kungaquka oku kulandelayo:

I-Ketorolac isetyenziselwa ukukhululeka kwexesha elifutshane kwintlungu engathethekiyo kwaye akufuneki isetyenziselwe ixesha elingaphezulu kweentsuku ezi-5, kwintlungu ethambileyo, okanye kwintlungu evela kwiimeko ezingapheliyo (zexesha elide). Uya kufumana amanani akho okuqala e-ketorolac nge-intravenous (kwi-vein) okanye kwi-intramuscular (kwi-muscle) inaliti esibhedlele okanye kwi-ofisi yezonyango. Emva koko, ugqirha wakho unokukhetha ukuqhubeka nonyango lwakho nge-ketorolac yomlomo. Kuya kufuneka uyeke ukuthatha i-ketorolac yomlomo ngosuku lwesihlanu emva kokuba ufumene inaliti yakho yokuqala ye-ketorolac. Thetha nogqirha wakho ukuba usenentlungu emva kweentsuku ezi-5 okanye ukuba iintlungu azilawulwa ngala mayeza. I-Ketorolac inokubangela iziphumo ebezingalindelekanga ezimandundu, ngakumbi xa ithathwa ngokungafanelekanga.Thatha i-ketorolac kanye njengoko kuyalelwe. Sukuyithatha ngaphezulu okanye uyithathe rhoqo kunokuyalelwa ngugqirha.

Abantu abathatha ii-nonsteroidal anti-inflammatory drug (NSAIDs) (ngaphandle kwe-aspirin) ezinje nge ketorolac banokuba semngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubethwa ngabantu kunabantu abangathathi la mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide. Musa ukuthatha i-NSAID efana ne-ketorolac ukuba usandula ukubanjwa sisifo sentliziyo, ngaphandle kokuba uyalelwe ngugqirha. Xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe unesifo sentliziyo, wahlaselwa yintliziyo, okanye wahlaselwa sistroke okanye ‘i-ministroke;’ ukuba uyatshaya; kwaye ukuba ukhe wanayo i-cholesterol ephezulu, uxinzelelo oluphezulu lwegazi, ukopha okanye iingxaki zokunqanda igazi, okanye isifo seswekile. Fumana uncedo lonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu esifubeni, ukuphefumla kancinci, ukuba buthathaka kwelinye icala okanye icala lomzimba, okanye intetho egoso.

Ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-ketorolac. Ukuba uya kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki uthathe i-ketorolac kanye ngaphambi okanye emva kotyando.

Ii-NSAID ezinje nge-ketorolac zinokubangela izilonda, ukopha, okanye imingxunya esiswini okanye emathunjini. Ezi ngxaki zinokuvela nanini na ngexesha lonyango, zinokwenzeka ngaphandle kweempawu zesilumkiso, kwaye zinokubangela ukufa. Umngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide, badala kubudala, impilo enkenenkene, okanye basele utywala obuninzi ngelixa bethatha i-ketorolac. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); okanye i-serotonin norepinephrine reuptake inhibitors (i-SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), kunye ne-venlafaxine (Effexor XR). Musa ukuthatha i-aspirin okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn) ngelixa uthatha i-ketorolac. Xelela ugqirha wakho ukuba ukhe wanaso okanye wakha waba nezilonda okanye ukopha esiswini okanye emathunjini. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-ketorolac kwaye ubize ugqirha wakho: iintlungu zesisu, isilungulela, ukugabha okunegazi okanye okujongeka njengendawo yekofu, igazi elisesitofini, okanye isitulo esimnyama nesokulinda.

I-Ketorolac inokubangela ukusilela kwezintso. Tshela ugqirha wakho ukuba unesifo sezintso okanye sesibindi, ukuba ngaba ugabhe kakhulu okanye urhudo okanye ucinga ukuba unokuphelelwa ngamanzi emzimbeni, kwaye ukuba uthatha i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril , enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril (Univasc), perindopril (Aceon, e-Prestalia), quinapril (Accupril, ngesiQuinaretic), ramipril (Altace), kunye ne-Trandolap, ); okanye umchamo ('iipilisi zamanzi'). Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-ketorolac kwaye ubize ugqirha wakho: ukudumba kwezandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi; ukuzuza ubunzima obungachazwanga; ukudideka; okanye ukuxhuzula.

Abanye abantu baneempembelelo ezimbi kwi-ketorolac. Tshela ugqirha wakho ukuba uxabisa i-ketorolac, i-aspirin okanye ezinye ii-NSAID ezifana ne-ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn), okanye nawaphi na amanye amayeza. Xelela ugqirha wakho ukuba ukhe wanesifo sombefu, ngakumbi ukuba uhlala unezinto okanye impumlo egudileyo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo). Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-ketorolac kwaye ubize ugqirha ngoko nangoko: irhashalala; imihlathi ukurhawuzelela; ukudumba kwamehlo, ubuso, umqala, ulwimi, iingalo, izandla, amaqatha okanye imilenze esezantsi; ubunzima bokuphefumla okanye ukugwinya; okanye ukungcungcutheka.

Musa ukuncancisa ngelixa uthatha i-ketorolac.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga iimpawu zakho ngononophelo kwaye uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-ketorolac. Qiniseka ukuba uxelela ugqirha wakho indlela oziva ngayo ukuze ugqirha wakho akhuphe inani elifanelekileyo lamayeza ukunyanga imeko yakho ngomngcipheko ophantsi weziphumo ebezingalindelekanga.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-ketorolac kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukufumana isiKhokelo seyeza.

I-Ketorolac isetyenziselwa ukudambisa iintlungu ngokuphakathi, ikakhulu emva kotyando. I-Ketorolac ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

I-Ketorolac iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa qho kwiiyure ezi-4 ukuya kwezi-6 kwishedyuli okanye njengoko kufuneka iintlungu. Ukuba uthatha i-ketorolac kwishedyuli, yithathe ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-ketorolac,

• xelela ugqirha wakho ukuba uthatha ipentoxifylline (Pentoxil) okanye i-probenecid (i-Probalan, kwi-Col-Probenecid). Ugqirha wakho uya kukuxelela ukuba ungathathi i-ketorolac ukuba uthatha elinye okanye ngaphezulu kula mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril (Univasc), perindopril Prece (Aceon, (I-Accupril, ngesiQuinaretic), i-ramipril (i-Altace), kunye ne-trandolapril (i-Mavik, eTarka); ii-angiotensin receptor blocker ezinje ngecandesartan (Atacand, eAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, eAzor, e-Benicar HCT, e-Tribenzor), telmisartan (Micardis, kwi Micardis HCT, e Twynsta), kunye ne valsartan (kwi Exforge HCT); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, InnoPran); amayeza oxinzelelo okanye ukugula ngengqondo; amayeza okubanjwa njenge carbamazepine (Epitol, Tegretol, Teril, others) okanye phenytoin (Dilantin, Phenytek); imethotrexate (Otrexup, Rasuvo, Trexall); ukuthomalalisa; iipilisi zokulala; kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanemiqathango echazwe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye ukusilela kwentliziyo okanye ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Ketorolac inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ngokuhanjiswa ukuba ithathwa malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Musa ukuthatha i-ketorolac ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha i-ketorolac, tsalela umnxeba ugqirha wakho.
• thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-ketorolac ukuba uneminyaka engama-65 okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-ketorolac kuba ayikhuselekanga njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele okanye ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha la mayeza. Utywala bungenza iziphumo ebezingalindelekanga ze-ketorolac zibe mbi.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Ukuba ugqirha ukuxelele ukuba uthathe i-ketorolac rhoqo, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Ketorolac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• isiyezi
• ukozela
• urhudo
• ukuqhina
• irhasi
• izilonda emlonyeni
• ukubila

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza. Musa ukuthatha enye i-ketorolac de uthethe nogqirha wakho.

• ifiva
• amadyungudyungu
• ukuzuza ubunzima obungachazwanga
• ukuphefumla kancinci okanye ukuphefumla nzima
• ukudumba esiswini, emaqatheni, ezinyaweni, okanye emilenzeni
• mthubi ulusu okanye amehlo
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• isicaphucaphu
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• Iimpawu ezinjengomkhuhlane
• ulusu oluthuthu
• ukubetha kwentliziyo ngokukhawuleza
• kunamafu, kucace umbala, okanye umchamo onegazi
• umqolo obuhlungu
• ukuchama kunzima okanye kubuhlungu

I-Ketorolac inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• enegazi, emnyama, okanye ilindle
• ukugabha okunegazi okanye okujongeka njengendawo yekofu
• ukozela
• ukuphefumla okucothayo okanye ukukhawulezisa ukuphefumla
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• I-Toradol^®¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.